Midterm Exam: NR566/ NR 566 (2023/ 2024
New Update) Advanced Pharmacology for
Care of the Family Exam Review| Guide with
Questions and Verified
... [Show More] Answers| 100%
Correct |Grade A - Chamberlain
QUESTION
A patient with an infection caused by Pseudomonas aeruginosa is being treated with
piperacillin. The nurse providing care reviews the patient's laboratory reports and notes that the
patient's blood urea nitrogen and serum creatinine levels are elevated. What action will the
provider take when notified of the elevated lab results?
· Prescribes an aminoglycoside
· Reduces the dosage of piperacillin
· Discontinues the piperacillin and orders penicillin G
· Discontinues the piperacillin and prescribes nafcillin
Answer:
Reduces the dosage of piperacillin
Patients with renal impairment should receive lower doses of piperacillin than patients with
normal renal function. Aminoglycosides are nephrotoxic. Penicillin G and nafcillin are not
effective against Pseudomonas infections.
QUESTION
An older adult patient with a history of chronic obstructive pulmonary disease (COPD) develops
bronchitis. The patient has a temperature of 39.5°C. What action will the provider initially take
to assure effective care for this patient?
· Treat symptomatically, because antibiotics are usually ineffective against bronchitis.
· Order an empiric antibiotic while waiting for sputum culture results.
· Treat the patient with more than one antibiotic without obtaining cultures.
Order a sputum culture and prescribe an antibiotic based on the results
Answer:
Order an empiric antibiotic while waiting for sputum culture results.
Patients with severe infections should be treated while culture results are pending. If a patient has
a severe infection or is at risk of serious sequelae if treatment is not begun immediately, it is not
correct to wait for culture results before beginning treatment. Until a bacterial infection is ruled
out, treating symptomatically is not indicated. Treating without obtaining cultures is not
recommended.
QUESTION
A patient is about to receive penicillin G for an infection that is highly sensitive to this drug.
While obtaining the patient's medication history, the nurse learns that the patient experienced a
rash when given amoxicillin as a child 20 years earlier. What action will the provider take when
made aware of the patient's past reaction to amoxicillin?
· Order a desensitization schedule to be used to administer the drug safely.
· Request an order for a skin test to assess the current risk.
· Reassure the patient that allergic responses diminish over time.
Answer:
Request an order for a skin test to assess the current risk.
Allergy to penicillin can decrease over time; therefore, in patients with a previous allergic
reaction who need to take penicillin, skin tests can be performed to assess the current risk. Until
this risk is known, changing to a cephalosporin is not necessary. Reassuring the patient that
allergic responses will diminish is not correct, because this is not always the case; the occurrence
of a reaction must be confirmed with skin tests. Desensitizing schedules are used when patients
are known to be allergic and the drug is required anyway.
QUESTION
Which patient diagnosed with a urinary tract infection should be hospitalized and prescribed
intravenous antibiotics?
· An older adult man with a low-grade fever, flank pain, and an indwelling catheter
· A 5-year-old child with a fever of 100.5°F, dysuria, and bacteriuria
· A pregnant woman with bacteriuria, suprapubic pain, and fever
· A young man with dysuria, flank pain, and a previous urinary tract infection
Answer:
An older adult man with a low-grade fever, flank pain, and an indwelling catheter
The patient with an indwelling catheter and signs of pyelonephritis shows signs of a complicated
UTI, which is best treated with intravenous antibiotics. Three other patients show signs of
uncomplicated urinary tract infections that are not severe and can be treated with oral antibiotics.
QUESTION
How to treat tinea capitis (don't need specific drug or dose, focus on drug classes)
Answer:
Antifungal oral griseofulvin x 8-10 weeks
QUESTION
Specific drug to treat aspergillosis:
Answer:
Voriconazole
QUESTION
Which anthelmintic drugs carry risk for hypotension with patients on antihypertensives?
Answer:
Ivermectin and Moxidectin
QUESTION
Which anthelmintic drugs can cause bone marrow suppression and liver impairment?
Answer:
Albendazole and Mebendazole
QUESTION
Are anthelmintic drugs safe for use in pregnancy?
Answer: [Show Less]